Healthcare Provider Details

I. General information

NPI: 1427018696
Provider Name (Legal Business Name): PATRICIA ALPHONSINE ROSS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

1001 S BOULDIN ST
BALTIMORE MD
21224-5022
US

V. Phone/Fax

Practice location:
  • Phone: 410-434-1000
  • Fax:
Mailing address:
  • Phone: 410-522-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number16506
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: